Comprehensive evaluation and treatment of extremity pain may require specialized assessment of the nerves transmitting the pain. From herniated discs impinging nerve roots in the spine to distal nerve constriction such as carpal tunnel syndrome, electrical testing of the nerves (PNCV/EMG) can determine the site of compression. This accurate and objective test coupled with a localized neurological exam can diagnose disorders that may or may not require surgery.
Recently botulinum toxin (Botox) has been approved for upper extremity muscle spasm. Patients who have pain, tightness, or hygiene issues related to muscle spasm may benefit from this treatment which relaxes these muscles. A neurologist can determine whether a patient is a candidate for this therapy.
Dr. McGhee is a board-certified neurologist who specializes in electrodiagnostic nerve testing and Botox.